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Dr. Varsha

Gynaecologist, Pune

200 at clinic
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Dr. Varsha Gynaecologist, Pune
200 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Varsha
Dr. Varsha is one of the best Gynaecologists in central Panchgani, Pune. You can meet Dr. Varsha personally at Varsha Clinic in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Varsha on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Varsha Clinic

Flat No 102 W Wing Rose Land Residency 4, Landmark:-Nr Kunal Ikon, PunePune Get Directions
200 at clinic
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I am 20 year old girl and I have sex with my fiance at yesterday (30/04/2018. Being unprotected. And now today my bleeding is not stopping .and I having lots of pain .is there any symptoms of pregnancy. Please help doc.

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Obstetrics and Gynecology), Fellowship minimal access surgery, Certificate in Infertility and Endoscopy
Obstetrician, Ghaziabad
I am 20 year old girl and I have sex with my fiance at yesterday (30/04/2018. Being unprotected. And now today my ble...
It doesn't seem a symptom of pregnancy but it could be due to some infection, trauma ,ovarian cyst ,polyp etc. If your menstrual cycle was not on time do a urine pregnancy test. You can connect with me directly on Lybrate for management as to what medications you can take.
1 person found this helpful
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I am 22 years. My periods are irregular and I have facial hair growth too. How can I get cure from this.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 22 years. My periods are irregular and I have facial hair growth too. How can I get cure from this.
First know the reason of the symptoms. Blindly taking medicines will only harm you. Go for USG Abdomen Pelvis. And consult with the reports. As most common cause can PCOD.
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I had sex on 2 days before my regular periods is there any chance of pregnancy. If I am pregnant how can I Abort it can you suggest me some tablets without any side effects.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had sex on 2 days before my regular periods is there any chance of pregnancy. If I am pregnant how can I Abort it c...
Hello, if you got your menses after 2 days of sex then you are pregnancy safe as all endometrium has been shed off during menses.
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If I have sex with my gf and I did sex in her rectum with using condom can makes her pregnant or not and what is anal sex.

DHMS (Hons.)
Homeopath, Patna
Hello you have already conducted anal sex and rest assured your this action is not going to make your gf pregnant. Tk, care.
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Diagnosis and Treatment for Dyspareunia!

MBBS
Sexologist, Mumbai
Diagnosis and Treatment for Dyspareunia!

Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable. 

Common causes include the following:

  1. Vaginal dryness
  2. Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
  3. Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
  4. An allergic reaction to clothing, spermicides or douches
  5. Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
  6. Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
  7. Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
  8. Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
  9. Psychological trauma, often stemming from a past history of sexual abuse or trauma.

Symptoms of Dyspareunia:
Women with dyspareunia may feel superficial pain at the entrance of the vagina or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.

Diagnosis:
Your health practitioner will check for the following things

  1. If there was ever a time you had painless intercourse or if you have always had dyspareunia
  2. If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
  3. About your sexual history (to help assess your risk for sexually transmitted infections)
  4. If you have ever been sexually abused or had a traumatic injury involving your genitals.

Treatment:

  1. Lubrication with an over-the-counter lubricant such as K-Y jelly.
  2. Antifungal medication(if you have any kind of fungal infection)
  3. Sitz baths for removing the inflammation
  4. For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
  5. Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
  6. Surgeries can also be prescribed for abnormal growths

For dyspareunia that has no apparent physical cause or has lasted for months or years, you may need psychological counseling to address stress or anxiety regarding sexual intercourse.

2 people found this helpful

Me and girlfriend were messing around today. We used condom all the while. It wS just a one point where we didn't use it. But there was no insertion in the vagina. She's a virgin also. I do not know if it was inserted a little or not. If it all it was inserted also. Just the tip of my penis would've been inserted. Later after an hour or so, she told me there was a little bleeding. Just two three drops. Then after an hour or so more she told me there was more bleeding, but along with a mucus kind of thing. I didn't ejaculate. Maybe I was just leaking of precum. We're afraid of what it could be. Could she be pregnant and lost her virginity as well? All this happened today itself. please respond quickly.

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
She has probably ruptured her hymen hence the bleeding however without physical examination we willl not be able to confirm the same, don't worry it's quite unlikely she will get pregnant as you have not ejaculated inside her. Just relax and reassure your partner, she will be fine in a. Few days time. All the best.
2 people found this helpful
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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

  • Psychiatric medications
  • Cancer chemotherapy
  • Blood pressure drugs
  • Allergy medications
  • Lifestyle factors

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

I am 37 weeks pregnant my fetus weights 2.2 kgs is it ok for the baby health my gynae advised me to eat more proteins food to gain weight is that weight harmful for baby please help me out of this.

MBBS, Diploma In Ultrasound, Fellowship in Reproductive Medicine
IVF Specialist, Bangalore
I am 37 weeks pregnant my fetus weights 2.2 kgs is it ok for the baby health my gynae advised me to eat more proteins...
Slighty weight towards lesser side. Continue with good protein diet. Whats your haemoglobin level, bp.
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I think I'm pregnant, I'm not sure about it but I'm actually having these symptoms, like pelvic pain, nausea, headaches , fatigues, frequent urination, it has been 22 days since my last periods , is there any chance if abortion medically and if there is how can it be done.

MBBS
General Physician, Chandigarh
I think I'm pregnant, I'm not sure about it but I'm actually having these symptoms, like pelvic pain, nausea, headach...
If you miss your periods then test your urine for pregnancy and if you are pregnant then get the medicine prescribed from a gynecologist immediately to abort so that you don't get much problems later on.
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My last period is on 28 may and still not came. I get my ultrasound also the report is normal. I missed it because of excess of weight loss. So I took sysron and 3 tab for 3 days buy after having it I am feeling so uneasy, anxiety insomnia so is it the side effects or it's normal what should I do to get rid of these problem. Or after period this will be normal? Please suggest.

BHMS
Homeopath, Mumbai
My last period is on 28 may and still not came. I get my ultrasound also the report is normal. I missed it because of...
It could be the side effects of the entire phenomenon of weight loss and pills. Also you are thinking too much. Just relax and indulge in your daily activities and follow up after 1 cycle of your periods if complaint persists.
1 person found this helpful
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